- HCA Healthcare (Las Vegas, NV)
- …in operations, expense, clinical integration, quality, and service + Execute clinical utilization and expense management plans and ensure alignment with facility and ... National Product Standardization, Clinical initiatives and optimization of supply utilization through effective collaboration with physicians and clinicians +… more
- Nuvance Health (Poughkeepsie, NY)
- …from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned ... and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement. Utilizes criteria to confirm… more
- US Bank (Earth City, MO)
- …implements methods and procedures for improved workflow or processes, staff utilization , office facilities, equipment utilization , and communications. Reviews, ... oversees, and assists with IT initiated projects. Plans, coordinates, and trains on processes and procedures. Evaluates documentation methodologies, tools, techniques, and automation opportunities. Develops and manages Quality programs. Facilitates and… more
- Highmark Health (Pierre, SD)
- …projects and data analysis related to Medical Policy and Utilization Management. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but ... in a supervisory capacity or role **Preferred** + Experience in Utilization Management and/or Medical PolicyExperience working with claims data **LICENSES AND… more
- Centene Corporation (Salem, OR)
- …+ Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to ... Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed… more
- Cushman & Wakefield (Oklahoma City, OK)
- …planning to target value from supplier agreements. + Monitors preferred supplier utilization , builds roster to ensure capability to deliver across the service line ... + Utilizes change management techniques to drive the development and utilization of a preferred supplier program. **Qualifications:** + Bachelor's degree +… more
- Battelle Memorial Institute (Fort Campbell, KY)
- …and required by USSOCOM HQ and POTFF staff + Document work performed, utilization , referrals, and all other information in the HP Enterprise-wide database, ie, ... will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle._ The above statements… more
- Hubbell Power Systems (Greenville, SC)
- …sales commissions processing, global available to promise, real-time data analytics, Fiori utilization , Joule utilization , etc. * Drive clean core with the ... elimination of custom code and processing via business process standardization and utilizing standard industry application offerings that are not currently being utilized * Work to rationalize our current application solution environment * Manage certain… more
- Cushman & Wakefield (Tallahassee, FL)
- …planning to target value from supplier agreements. + Monitors preferred supplier utilization , builds roster to ensure capability to deliver across the service line ... + Utilizes change management techniques to drive the development and utilization of a preferred supplier program. **Qualifications:** + Preferred: 10+ years… more
- Elevance Health (Atlanta, GA)
- …be responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment ... **How you will make an impact:** + Investigates potential fraud and over- utilization by performing medical reviews via prepayment claims review and post payment… more